Title 12, TITLE 12. HUMAN SERVICES

Sec. 1. As used in this chapter, "buy-in program" refers to the Medicaid buy-in program for working individuals with disabilities established by section 3 of this chapter. As added by P.L.287-2001, SEC.9.

Sec. 10. To the greatest extent possible, the office shall use the same administrative procedures regarding premiums for the buy-in program as are used for the children's health insurance program established under IC 12-17.6, including: (1) the effect of nonpayment of a premium; …

Sec. 11. (a) The office shall establish criteria to base the annual redetermination of disability required under 405 IAC 2-2-3(b) for an individual participating in the buy-in program on the individual's medical evidence, including evidence of physical or mental impairment. (b) I…

Sec. 12. Except as otherwise provided in this chapter, an individual participating in the buy-in program: (1) shall receive the same benefits, including home health care services; and (2) is subject to the same requirements, including cost sharing; as an individual receiving Medi…

continued Medicaid coverage Sec. 13. (a) The office shall establish criteria to determine the effectiveness of: (1) the buy-in program; and (2) continued Medicaid coverage through Section 1619 of the federal Social Security Act (42 U.S.C. 1382h). (b) The criteria required under s…

Sec. 14. Funding for the buy-in program shall be from funds appropriated by the general assembly, premiums paid, and any federal matching funds available to the program. As added by P.L.287-2001, SEC.9.

Sec. 15. (a) The office shall adopt rules under IC 4-22-2 to implement this chapter. (b) The office may adopt emergency rules under IC 4-22-2-37.1 to implement this chapter on an emergency basis. As added by P.L.287-2001, SEC.9. Amended by P.L.197-2011, SEC.44.

Sec. 2. As used in this chapter, "countable resources" means all cash, other liquid assets, real property, and personal property owned by an applicant for or a recipient of Medicaid under this chapter, or the spouse of an applicant or a recipient, that could be converted to cash …

Sec. 3. The Medicaid buy-in program for working individuals with disabilities is established to provide, beginning July 1, 2002, Medicaid to individuals who are disabled and employed, as authorized under Section 201 of the federal Ticket to Work and Work Incentives Improvement Ac…

Sec. 4. To participate in the buy-in program beginning July 1, 2002, an individual must meet the eligibility requirements under IC 12-15-2-6, except as follows: (1) The individual has a severe medically determinable impairment without regard to the individual's employment status.…

circumstances Sec. 5. An individual who is enrolled in the buy-in program and who no longer meets the eligibility requirements set forth in section 4 of this chapter due to an improvement in the individual's medical condition continues to be eligible for Medicaid coverage under t…

Sec. 6. (a) An individual who is enrolled in the buy-in program and who is unable to maintain employment for involuntary reasons, including temporary leave due to a health problem or involuntary termination, continues to be eligible for Medicaid coverage under the buy-in program …

Sec. 7. (a) The office shall develop a sliding scale of premiums for individuals participating in the buy-in program. (b) The sliding scale of premiums required under subsection (a) must: (1) be based on the annual gross income of the individual and, if married, the individual's …

Sec. 8. (a) An individual whose gross annual income, including the gross annual income of the individual's spouse, if married, is less than one hundred fifty percent (150%) of the federal income poverty level for the size of the individual's or couple's family may not be required…

Sec. 9. (a) The office shall annually review the amount of the premium that an individual is required to pay under section 8 of this chapter. (b) In addition to the annual review required under subsection (a), the office shall adjust the premium that an individual is required to …

As added by P.L.170-2009, SEC.2. Expired 12-31-2011 by P.L.143-2011, SEC.16.

Sec. 1. The office may implement the Program of All-Inclusive Care for the Elderly (PACE) (42 U.S.C. 1396u-4) established under the federal Balanced Budget Act of 1997. As added by P.L.20-2003, SEC.1.

Sec. 2. The office may adopt rules under IC 4-22-2 necessary to implement this chapter. As added by P.L.20-2003, SEC.1.

As added by P.L.120-2002, SEC.20. Amended by P.L.255-2003, SEC.25; P.L.145-2005, SEC.8; P.L.212-2007, SEC.13; P.L.218-2007, SEC.24. Repealed by P.L.146-2008, SEC.819.

Sec. 2. A provider must file the application with the division not more than forty-five (45) days after the person has been released or discharged from the hospital, unless the person is medically unable and the next of kin or legal representative is unavailable. As added by P.L.…

Sec. 3. Subject to this article, the division shall adopt rules under IC 4-22-2 prescribing the following: (1) The form of an application. (2) The establishment of procedures for applications. (3) The time for submitting and processing claims. As added by P.L.120-2002, SEC.20. Am…

As added by P.L.120-2002, SEC.20. Repealed by P.L.146-2008, SEC.819.

Sec. 5. A hospital or an attending physician may assist the patient in the preparation of an application for assistance under the hospital care for the indigent program. As added by P.L.120-2002, SEC.20.

preparation of application; immunity Sec. 6. A person who in good faith provides assistance in the completion of an application under this chapter is immune from civil or criminal liability arising from the assistance. As added by P.L.120-2002, SEC.20.

Sec. 7. (a) A patient must sign an application if the patient is medically able to sign. (b) If a patient is medically unable to sign an application, the patient's next of kin or a legal representative, if available, may sign the application. (c) If no person under subsections (a…

Sec. 8. (a) A person or a person's representative may file an application directly with the division if the application is filed not more than forty-five (45) days after the person has been released or discharged from the hospital. (b) Reimbursement for the costs incurred in prov…

Sec. 8.5. A claim for services must be filed with the division not more than one hundred eighty (180) days after the person who received the care has been released or discharged from the hospital. For good cause as determined by the division, this one hundred eighty (180) day lim…

As added by P.L.120-2002, SEC.20. Repealed by P.L.255-2003, SEC.55.

Sec. 1. As used in this chapter, "long acting reversible contraceptive" includes intrauterine devices and birth control implants. As added by P.L.177-2023, SEC.1.

conditions Sec. 2. A long acting reversible contraceptive that is prescribed to and obtained for a Medicaid recipient may be transferred to another Medicaid recipient if the long acting reversible contraceptive was not delivered to, implanted in, or used on the original Medicaid …

Sec. 1. As used in this chapter, "Alzheimer's and dementia special care" means care provided to a person diagnosed with Alzheimer's disease, a related disorder, or dementia who resides in a health facility or a housing with services establishment that: (1) locks, secures, segrega…

Sec. 2. As used in this chapter, "health facility" means a facility that is licensed under or subject to IC 16-28. As added by P.L.106-1997, SEC.4.

Sec. 2.5. As used in this chapter, "housing with services establishment" has the meaning set forth in IC 12-10-15-3. As added by P.L.48-2021, SEC.3.

Sec. 3. A health facility and a housing with services establishment that provides or offers Alzheimer's and dementia special care or programing shall prepare a written disclosure in a form provided by the division that has been developed in conjunction with the long term care omb…

establishment Sec. 4. A health facility and a housing with services establishment shall do the following with the disclosure form required under section 3 of this chapter: (1) Submit the form to the division in December of each year. (2) Make the form available to any individual …

Sec. 5. The division shall do the following with the disclosure form received from each health facility and housing with services establishment under section 4 of this chapter: (1) Make the form available to any individual upon request. (2) Publish all the disclosure forms before…

Sec. 6. The division may adopt rules under IC 4-22-2 necessary to implement this chapter. As added by P.L.106-1997, SEC.4.

Sec. 1. The division shall implement a program to require a person receiving assistance under the TANF program and who is: (1) at least eighteen (18) years of age; or (2) less than eighteen (18) years of age and the parent of a dependent child; to engage in public service in exch…

Sec. 2. (a) The division may adopt rules under IC 4-22-2 to establish criteria for determining: (1) the persons required to engage in public service; and (2) the public and private agencies eligible for the placement of persons engaged in public service. (b) Rules adopted under t…

Sec. 3. The division shall maintain a list of public and private agencies eligible for placement of a person engaged in public service under this chapter. As added by P.L.46-1995, SEC.28.

Sec. 4. The maximum number of hours a person is required to work under this chapter is equal to the number of hours multiplied by the minimum wage that is equivalent to the value of all assistance received. However, a person may not be required to work more than forty (40) hours …

Sec. 5. A person required to engage in public service under this chapter who refuses to engage in public service is not entitled to receive assistance under the TANF program. As added by P.L.46-1995, SEC.28. Amended by P.L.161-2007, SEC.31.

As added by P.L.120-2002, SEC.21. Amended by P.L.255-2003, SEC.28; P.L.145-2005, SEC.13; P.L.212-2007, SEC.17; P.L.218-2007, SEC.28. Repealed by P.L.146-2008, SEC.819.

Sec. 1.2. (a) The division shall, upon receipt of a claim pertaining to a person: (1) who was provided care by an eligible provider; and (2) whose medical condition satisfies one (1) or more of the medical conditions identified in IC 12-16-3.5-1(a)(1) through IC 12-16-3.5-1(a)(3)…

Sec. 2. (a) The provider of medical care to a patient shall provide information the provider has that would assist in the verification of indigency of a patient. (b) A provider that provides information under subsection (a) is immune from civil and criminal liability for divulgin…

Sec. 3. (a) Subject to subsection (b) and IC 12-16-6.5-1.5, if the division is unable after prompt and diligent efforts to verify information contained in the application that is reasonably necessary to determine eligibility, the division may deny assistance under the hospital ca…

information Sec. 3.2. (a) Subject to subsection (b) and IC 12-16-6.5-1.7, if the division is unable after prompt and diligent efforts to determine that a health care item or service identified in a claim: (1) was necessitated by one (1) or more of the medical conditions listed in…

Sec. 4. The division shall notify in writing the person and the provider of the following: (1) A decision concerning eligibility. (2) The reasons for a denial of eligibility. (3) That either party has the right to appeal the decision. As added by P.L.120-2002, SEC.21. Amended by …

As added by P.L.120-2002, SEC.21. Repealed by P.L.255-2003, SEC.55.

certification Sec. 1. (a) The township trustee shall process all applications for township assistance according to uniform written standards and without consideration of the race, creed, nationality, or gender of the applicant or any member of the applicant's household. (b) The t…